Individual provider Active NPI

Kelsey Anne Smith, NP

  • Nurse Practitioner
  • Thomasville, NC
National Provider Identifier
1386083210
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5006235 Issued in NC
Practice address
1213 Lexington Ave Ste B
Thomasville, NC 27360-3416
Phone
(336) 481-1950
NPI assigned
Jun 25, 2013
Last updated
Dec 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5006235 NC Primary

Addresses

Primary practice location

1213 Lexington Ave Ste B
Thomasville, NC 27360-3416

Mailing address

PO Box 935983
Atlanta, GA 31193-5983

Other practice location 1

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2011

Other practice location 2

631 Mocksville Ave Ste 1020
Salisbury, NC 28144-2731
Phone (704) 210-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130913000499 NC Practitioner - Nurse Practitioner 8729222781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1213 Lexington Ave
Suite B
Thomasville, NC 27360-3416
Phone (336) 481-1950

631 Mocksville Ave
Suite 1020
Salisbury, NC 28144-2731
Phone (704) 210-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. CurrentSince Nov 28, 2025 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Sep 14, 2024 Accepting new patients
Novant Health Rowan Medical Center LLC Current Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Nov 28, 2025 Accepting new patients
Novant Health Thomasville Medical Center, LLC CurrentSince Nov 28, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Nov 28, 2025 Accepting new patients

Locations

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

1908 Caudle Dr
Ste 200
Mount Airy, NC 27030
Phone (336) 783-6935

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

631 Mocksville Ave
#1020
Salisbury, NC 28144
Phone (704) 210-7600

1213 Lexington Ave
#B
Thomasville, NC 27360
Phone (336) 249-6632

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

1010 Bethesda Ct
Winston Salem, NC 27103
Phone (336) 277-6000

175 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 718-1006

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1386083210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935983",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311935983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 LEXINGTON AVE STE B",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603416",
            "telephone_number": "336-481-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-2011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "631 Mocksville Ave Ste 1020",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442731",
            "country_code": "US",
            "telephone_number": "704-210-7600",
            "fax_number": "704-210-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELSEY",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

Verify at the official NPI Registry.